Emprego de cimento biocerâmico em dentes com insucesso no tratamento endodôntico com intervenção cirurgica: relato de caso clínico

Abstract

INTRODUCTION: It is known that endodontic treatment has anatomical and microbial challenges. These challenges can lead to the failure of endodontic treatment, making it necessary to perform endodontic surgery. The use of bioceramic cement improves the conditions for maintaining the tooth in function and aesthetics. OBJECTIVES: The present work aims to present the advantages of opting for bioceramic material in teeth with unsuccessful conventional endodontic treatment that require surgical complementation. METHODOLOGY: After clinical, radiographic and tomographic evaluation of teeth 11, 12, 21 and 22, retreatment of the root canals via endodontic surgery was planned and proposed to the patient, followed by apicectomy and retrofilling with the use of bioceramic cements. RESULTS: It was verified, through high resolution tomography (conical beam) that the retreatment performed via endodontic surgery associated with retrofilling of the canals with bioceramic cements was completely satisfactory after three years of preservation. FINAL CONSIDERATIONS: Bioceramic materials, regardless of the brand used, have been shown to be the first choice alternative for retreatment in teeth with failure in conventional endodontic treatment that require surgical complementation, as a result of the induction of hard tissue after surgery, and because they are biocompatible, bioactive, and capable of tissue regeneration.